Limited endoscopic septoplasty

ABSTRACT

Repair of nasal septal deviation [septoplasty] is a time honored treatment for nasal airway obstruction. Many techniques have been described previously to accomplish this goal. Often however, a minimal septal deviation that would normally be of little consequences in nasal airway congestion becomes an obstructing factor to successful functional Endoscopic sinus surgery [FESS] because of its location. With increasing numbers of FESS being done, the correction of the minimally deviated septum has also more frequently occurred, usually to facilitate adequate visualization and to allow room for Endoscopic instrumentation, as well as for postoperative care of the nasal/sinus cavities. Patients with chronic sinusitis often have nasal congestion, and many have nasal septal deviations. However, the exact cause of the nasal airway obstruction in patients with chronic sinusitis may be mulifactorial. It could be the result of septal deviation, reactive edema from the infected areas, allergic problems mucosal hypertrophy, other anatomic abnormalities, or combinations thereof. We will discuss the indication, limitation, steps of surgery and results: